METHODS, SYSTEMS AND APPARATUSES FOR DISPLAYING REAL-TIME CATHETER POSITION

• US 20190313941A1
• Filed: 11/16/2017
• Published: 10/17/2019
• Est. Priority Date: 11/16/2016
• Status: Active Application

• Current Assignee: Avinger Inc.
• Original Assignee: Avinger Inc.
• Inventors: RADJABI, Ryan
• Application Number:
  US16/347,840
• Publication Number:
  US 20190313941A1
• Time in Patent Office: Days
• CPC Class Codes: A61B 17/3207 Atherectomy devices working by cutting or abrading; Similar devices specially adapted for non-vascular obstructions A61B17/32037 takes precedence; endoscopic cutting instruments A61B17/320016
• CPC Class Codes: A61B 2017/22094 for crossing total occlusions, i.e. piercing
• CPC Class Codes: A61B 2034/2051 Electromagnetic tracking systems
• CPC Class Codes: A61B 2034/2055 Optical tracking systems
• CPC Class Codes: A61B 2034/2059 Mechanical position encoders
• CPC Class Codes: A61B 34/20 Surgical navigation systems; Devices for tracking or guiding surgical instruments, e.g. for frameless stereotaxis
• CPC Class Codes: A61B 5/0066 Optical coherence imaging
• CPC Class Codes: A61B 5/0084 for introduction into the body, e.g. by catheters A61B5/1459 takes precedence
• CPC Class Codes: A61B 5/066 Superposing sensor position on an image of the patient, e.g. obtained by ultrasound or x-ray imaging
• CPC Class Codes: A61B 5/067 using accelerometers or gyroscopes
• CPC Class Codes: A61B 5/1495 Calibrating or testing of in-vivo probes
• CPC Class Codes: A61B 5/489 Blood vessels
• CPC Class Codes: A61B 6/12 Arrangements for detecting or locating foreign bodies
• CPC Class Codes: A61B 6/463 characterised by displaying multiple images or images and diagnostic data on one display
• CPC Class Codes: A61B 6/487 involving fluoroscopy
• CPC Class Codes: A61B 6/5247 combining images from an ionising-radiation diagnostic technique and a non-ionising radiation diagnostic technique, e.g. X-ray and ultrasound
• CPC Class Codes: A61M 2025/0166 Sensors, electrodes or the like for guiding the catheter to a target zone, e.g. image guided or magnetically guided

Abstract

A system for tracking and displaying a real-time catheter position overlaying a fluoroscopic image includes a catheter having an optical coherence tomography (OCT) sensor thereon, a displacement sensor configured to identify displacement of the catheter, a controller, and a display. The controller is configured to receive a fluoroscopic image of the distal end of the catheter at a first position and determine a displacement of the catheter from the first position to a second position using the displacement sensor. The display is configured to display the distal end of catheter at the second position as an overlay on the fluoroscopic image.

Claims

1. A system for tracking and displaying a real-time catheter position overlaying a fluoroscopic image, the system comprising:

a catheter having an optical coherence tomography (OCT) sensor thereon;

a displacement sensor configured to identify displacement of the catheter; and

a controller configured to;

receive a fluoroscopic image of the distal end of the catheter at a first position; and

determine a displacement of the catheter from the first position to a second position using the displacement sensor; and

a display configured to display the distal end of catheter at the second position as an overlay on the fluoroscopic image.

2. The system of claim 1, wherein the display is further configured to display an OCT image from the OCT sensor.

3. The system of claim 1, wherein the fluoroscopic image is a static fluoroscopic image.

4. The system of claim 1, wherein the controller is further configured to synchronize a zero position of the distal end of the catheter with the first position when the fluoroscopic image is captured.

5. The system of claim 1, wherein determining the displacement of the catheter comprises determining the location of the distal end of the catheter at the second position using signals from the displacement sensor.

6. The system of claim 1, wherein the displacement sensor is attached to the catheter.

7. The system of claim 6, wherein the displacement sensor is axially movable relative to the catheter.

8. The system of claim 1, wherein the displacement sensor is a separate component from the catheter.

9. The system of claim 1, wherein the displacement sensor is an optical sensor.

10. The system of claim 1, wherein the displacement sensor is a mechanical sensor.

11. The system of claim 1, wherein the displacement sensor is an electromagnetic positioning sensor.

12. The system of claim 1, wherein the catheter is an atherectomy catheter.

13. The system of claim 1, wherein the catheter is an occlusion-crossing catheter.

14. A method for tracking and displaying a real-time catheter position comprising:

inserting a catheter into a body lumen;

capturing an optical coherence tomography (OCT) image with an OCT sensor on the catheter;

capturing a fluoroscopic image of the distal end of the catheter at a first position;

displaying the fluoroscopic image on a display;

advancing the catheter to a second position;

determining a displacement of the catheter from the first position to the second position using a displacement sensor; and

displaying the distal end of catheter at the second position as an overlay on the fluoroscopic image on the display.

15. The method of claim 14, wherein capturing a fluoroscopic image comprises capturing a static fluoroscopic image, and wherein displaying comprises displaying the static fluoroscopic image.

16. The method of claim 14, further comprising synchronizing a zero position of the distal end of the catheter with the first position when the fluoroscopic image is captured.

17. The method of claim 16, further comprising displaying the zero position of the distal end of the catheter on the fluoroscopic image.

18. The method of claim 14, wherein determining the displacement of the catheter comprises determining the location of the distal end of the catheter at the second position using signals from the displacement sensor.

19. The method of claim 14, wherein the method further includes displaying the OCT image.

20. The method of claim 19, further comprising displaying the distal end of the catheter overlaying the fluoroscopic image on a same display as the OCT image.

21. The method of claim 14, wherein the displacement sensor is attached to the catheter.

22. The method of claim 21, wherein the displacement sensor is axially movable relative to the catheter.

23. The method of claim 14, further comprising placing the displacement sensor at an insertion point of the catheter into the body lumen.

24. The method of claim 14, further comprising reducing an overall amount of x-ray radiation by only capturing a single fluoroscopic image for a travel range of the catheter that is displayed within a view of the single fluoroscopic image.

25. The method of claim 14, wherein the displacement sensor is an optical sensor.

26. The method of claim 14, wherein the displacement sensor is a mechanical sensor.

27. The method of claim 14, wherein the displacement sensor is an electromagnetic positioning sensor.

28. A catheter device comprising

an elongate body extending from a proximal end to a distal end;

an optical coherence tomography (OCT) sensor attached to the elongate body; and

a displacement sensor attached to the elongate body and axially movable relative to the movable body, the displacement sensor configured to measure a displacement of the distal end of the catheter relative to the displacement sensor;

wherein the displacement sensor is configured to be connected to a controller configured to receive signals from the displacement sensor and determine a position of the distal end.

29. The catheter device of claim 28, wherein the displacement sensor is an optical sensor.

30. The catheter device of claim 28, wherein the displacement sensor is a mechanical sensor.

31. The catheter device of claim 28, wherein the displacement sensor is an electromagnetic positioning sensor.

32. The catheter device of claim 28, wherein the catheter is an atherectomy catheter.

33. The catheter device of claim 28, wherein the catheter is an occlusion-crossing catheter.